Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria
Journal of pain and symptom management
NICU; Quality Improvement; pediatric palliative care; perinatal palliative care
BACKGROUND: Three percent of pregnancies are complicated by congenital anomalies. Prenatal integration of pediatric palliative care (PPC) may be hindered by non-standardized PPC referral processes. This quality improvement (QI) project aimed to improve prenatal PPC consultation using a diagnostic trigger list. MEASURES: Main outcome measure was the percentage of prenatal PPC consults completed based on diagnostic trigger list eligibility. Balancing measures included stakeholder perspectives on PPC consults and products. INTERVENTION: Interventions included creation and implementation of a diagnostic trigger list for prenatal PPC consultation, educational initiatives with stakeholders, and iterative modifications of our prenatal consultation process. OUTCOMES: Interventions increased consultation rates ≥80% during the first six months of QI implementation (baseline vs. post-interventions) although this increase was not consistently sustained over a 12-month period. CONCLUSIONS/LESSONS LEARNED: Diagnostic trigger lists improve initial rates of prenatal PPC consultation and additional interventions are likely needed to sustain this increase.
Lin, Matthew; Rholl, Erin; Andescavage, Nickie; Ackerman, Olivia; Fisher, Deborah; Lanzel, Ashley F.; and Mahmood, Laila A., "Improving Prenatal Palliative Care Consultation Using Diagnostic Trigger Criteria" (2023). GW Authored Works. Paper 3576.